I fully agree with the points made by Macpherson and Akpinar-Elci, who note the significant vulnerabilities faced by small island nations to the health effects of climate change. Small island nations, like the indigenous populations profiled in my article, are considered to be highly vulnerable to the health effects of climate change on account of low socioeconomic status, location in areas undergoing rapid change, and dependence on climate-sensitive natural resources, and have similarly been overlooked in studies on climate change and health.(1) (Am J Public Health. Published online ahead of print November 15, 2012: e1. doi:10.2105/AJPH.2012.301100).